Managed Care Supervisor jobs in Mcallen, TX

Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

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Supervisor, Care Advocate
  • Prominence Health
  • Allen, TX FULL_TIME
  • Responsibilities:
    Job Summary: The Care Advocate Supervisor is responsible for first level of response and provide resolution to escalated issues to ensure high level customer service. This will be dedicated to the delivery of benefits and services provided to Health Plan members, Potential New Members, employer groups, brokers, insurance carriers, providers, and their office staff.
    As we expand our footprint in Nevada, Florida and Texas, we’re looking for an organized, self-starter individual who understands how to navigate a shifting software stack, complex subject matter and a team working on-premises and remotely. Compassion and passion to help others is needed for this position.
    Supervisors are responsible to manage and be accountable for a group of Care Advocates by setting priorities for the team to ensure tasks are completed and the team is performing accordingly by providing coaching, feedback, and annual performance reviews as well as formal corrective action.
    Qualifications:
    Qualifications & Requirements:
    • At least two years of healthcare management experience including increasing levels of responsibility.
    • At least two years’ experience working with health plans insurance products or employer healthcare benefits programs.
    • At least two years of experience in customer service with proven ability to de-escalate situations and provide resolution to customer issues.
    • Associate’s degree or equivalent experience.
    • Knowledge of State and Federal regulations as they pertain to the health insurance industry.
    • Previous call center management experience preferred.
    • Previous experience reviewing and analyzing statistical data to identify trends as well as potential problems/opportunities for improved service quality.
    • Excellent verbal and written communication skills as well as public speaking and training abilities and experience.
    • Ability to effectively communicate in English, both verbally and in writing.
    • Knowledge of various computer systems including all Microsoft Office systems, Outlook, and budgetary, time and attendance type software systems.
    • Strong processes improvement skills necessary to get things done
    • Knows how to organize people and activities
    • Understands how to separate and combine tasks into efficient work flow
    • Knows what to measure and how to measure it
    • Can see opportunities for synergy and integration where others can't
    • Can simplify complex processes
    • Gets more out of few resources

    EEO Statement
    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

    We believe that diversity and inclusion among our teammates is critical to our success.

    Notice

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

  • 27 Days Ago

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Healthcare Supervisor for Legacy Home Care
  • Legacy Home Health Agency
  • Laredo, TX FULL_TIME
  • If you are looking for a new challenge, come join their team of dedicated patient care advocates! We offer the best personal assistant services in ALL of South Texas, and we need YOU to join us in our...
  • 20 Days Ago

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Primary Home Care Field Supervisor
  • St. Benedict's Home Health
  • Allen, TX FULL_TIME
  • Directs and monitors the attendants on-going functions Promote, review, and evaluate the quality and appropriateness of client are practices. Explain program rules and EVV procedures to both client an...
  • Just Posted

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Supervisor
  • EZ Clean Express Car Wash
  • Mission, TX FULL_TIME
  • Responsibilities:- Supervise and manage a team of employees in a retail environment- Provide training and development opportunities to enhance employee skills and performance- Ensure excellent custome...
  • 1 Day Ago

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Marketer home care
  • Mariposa Home Care, Inc
  • Allen, TX PART_TIME,FULL_TIME
  • Need a Marketer in the provider services environment Be able to be people person, have a positive attitude We will have weekly meetings Reach out to Adult day cares to do presentations Job Types: Full...
  • 22 Days Ago

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Patient Care Technician 1
  • Fresenius Medical Care
  • Laredo, TX FULL_TIME
  • About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team memb...
  • 7 Days Ago

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0 Managed Care Supervisor jobs found in Mcallen, TX area

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Remote Licensed Talk Therapist
  • Thriveworks
  • Thriveworks is currently seeking Licensed Clinicians to provide telehealth sessions in Nevada. Thriveworks is a clinicia...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Talk Therapist
  • Thriveworks
  • Thriveworks is currently seeking Licensed Clinicians to provide telehealth sessions in Massachusetts. ***For a limited t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Talk Therapist
  • Thriveworks
  • Thriveworks is currently seeking Licensed Clinicians to provide telehealth sessions in Nevada. Thriveworks is a clinicia...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Talk Therapist
  • Thriveworks
  • Thriveworks is currently seeking Licensed Clinicians to provide telehealth sessions in Massachusetts. ***For a limited t...
  • 4/25/2024 12:00:00 AM

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Electrical Engineer
  • Johnson Controls International
  • Apodaca, Nuevo León
  • What you will do: We would like you to be responsible for electrical analysis, detailed design, and control, as well as ...
  • 4/25/2024 12:00:00 AM

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Refrigeration Project Development Application Engineer
  • Johnson Controls International
  • Apodaca, Nuevo León
  • The Project Development Application Engineer is responsible for supporting the sale of a wide range of Chiller Solutions...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Talk Therapist
  • Thriveworks
  • Thriveworks is currently seeking Licensed Clinicians to provide telehealth sessions in Virginia. ***For a limited time, ...
  • 4/23/2024 12:00:00 AM

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Remote Licensed Talk Therapist
  • Thriveworks
  • Thriveworks is currently seeking Licensed Clinicians to provide telehealth sessions in Illinois. Thriveworks is a clinic...
  • 4/22/2024 12:00:00 AM

McAllen is the largest city in Hidalgo County, Texas, United States, and the 22nd-most populous city in Texas. It is located at the southern tip of the state in the Rio Grande Valley. The city limits extend south to the Rio Grande, across from the Mexican city of Reynosa, and McAllen is about 70 mi (110 km) west of the Gulf of Mexico. As of 2017, McAllen’s population was estimated to be 142,696. It is the fifth-most populous metropolitan area in the state of Texas, and the binational Reynosa–McAllen metropolitan area counts a population of nearly 1.52 million. From its settlement in 1904, the ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$65,486 to $90,378
Mcallen, Texas area prices
were up 1.2% from a year ago

Managed Care Supervisor in Austin, TX
The F/MCC Supervisor will ensure adequate team staffing, team training, participates in staff hiring and performance reviews.
December 07, 2019
Managed Care Supervisor in Lowell, MA
The individual will have a focus on assessing, interpreting, and analyzing the impact of utilization of services within the Winchester PHO to maximize performance in the managed care contracts that support the BILH Network.
February 18, 2020
Managed Care Supervisor in Montgomery, AL
The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.
January 15, 2020